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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax:(209) 468-3433 Web:www.sjgov.or,/q ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: LODI MEMORIAL HOSPITAL 975 S FAIRMONT AVE, LODI October 06, 2016 UST System Observations 323 HSC 25283.5(a) Unburied below grade UST system failed to meet exemption status ❑V ❑R ❑COS 324 CCR 2717.1(g) Tampered with red tag ❑V ❑R ❑COS 325 CCR 2717.1(f) Deposited petroleum into a red tagged UST ❑V ❑R ❑COS 326 HSC 25299(a)(9) Tampered with or disabled leak detection devices or alarms ❑V ❑R ❑COS 327 CCR 2631.1 UST system not compatible with the substance stored ❑V ❑R ❑COS 328 HSC 25298 Failed to comply with temporary closure requirements ❑V ❑R ❑COS 329 HSC 25298 Failed to comply with permanent closure requirements ❑V ❑R ❑COS 330 CCR 2636(f)(6) Failure to meet all requirements in lieu of a line leak detector for emergency generator tank system ❑V ❑R ❑COS Non-Pressurized Piping 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve ❑V ❑R ❑COS 402 CCR 2643(d) Daily monitoring of suction pipe(pre-Jan 1984)not performed ❑V ❑R ❑COS 403 CCR 2643(d) Triennial 0.1 gph line test for conventional suction piping not performed(pre-January 1984) ❑V ❑R ❑COS 404 CCR 2643(e) Biennial 0.1 gph test for gravity piping not performed(pre-January 1984) ❑V ❑R ❑COS Other Violations 2010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 2030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS 2060 See below Unlisted Design/Construction violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS t,CLASS II,or MINOR-Notice to;Comply) Item# Remarks 103 HSC 25292.2 Current financial responsibility documents not submitted. Financial responsibility documents have not been submitted to the EHD. Current financial responsibility documents are required to be submitted annually. Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, and upload the required documents. This was corrected on site. This is a repeat violation, Class II. 305 HSC 25290.1(e)VPH monitoring of the interstitial spaces of the UST system is not maintained. Could not verify communication in hydrostatic or vacuum zones of the VPH system. Contact a license/certified contractor and get a permit from the Environmental Health Department to install communication on the hydrostatic and vacuum zone and of the UST system under inspection of the EHD. This is a repeat violation, Class II. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by November 5, 2016 . FA0000513 PR0231331 SCO01 10/06/2016 EHD 23-01 Rev.09/22/16 Page 3 of 4 Underground Storage Tank Program OIR